25 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... auditory findings BPPV ... #differential #diagnosis ... #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
nose) • Head Position ... worsen with head position ... #diagnosis #findings ... #signs #symptoms ... #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... Hallpike test: Positive ... consistent with BPPV ... Labyrinthitis #diagnosis ... #neurology #comparison
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
normal plantar reflex ... A positive test, ... as a Babinski sign ... PhysicalExam #Diagnosis ... #Neurology
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
- Differential Diagnosis ... Vertigo: • Peripheral ... : BPPV, Vestibular ... dysfunction, Meds • Reflex ... #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... with significant neurologic ... signs or symptoms ... #differential #diagnosis ... #neurology
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
Positive Hoffmann's ... sign (finger flexor ... reflex) Flexion ... physicalexam #msk #orthopedics ... #neurology #sports
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... The test is positive ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... Epley #Maneuver #BPPV ... paroxysmal #positional #vertigo ... #neurology #instructions ... #physicalexam #management
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... previous gaze position ... previous gaze position ... • Examine for signs ... #PhysicalExam #neurology